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01052023_1

&

01052023_2

DONOR 1

Fullname

01052023_1

Country

United States

Address

Eye Color

Blue

Hair Color

Light Brown

Height

5’10”

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Beauty and hair care, Cooking, Gardening, Keeping pets, Taking care of animals, Watching TV or movies, Working out/exercising, Going to church/temple, Hiking

Anything else would you like to mention about your family medical history to the
Adoptive parent

Allergies -seasonal
Diabetes (type 2) was late onset (in his 60s)
Heart - arrhythmia (in his 60s)

Anything else would you like to mention about your talents,skills,interests 

Traveling, hanging out with my family, watching my children’s sports, etc.

DONOR 2

Fullname

01052023_2

Country

United States

Address

Eye Color

Blue

Hair Color

Light Brown

Height

6'3"

Ethnicity

White/Caucasian

Education

Associates degree

Hobbies

Camping, Fishing, Gardening, Going to church/temple, Reading, Hiking, Keeping pets, Taking care of animals, Watching TV or movies, Woodworking, Visiting with friends

Anything else would you like to mention about your family medical history to the
Adoptive parent

hanging out with family, watching kids' sports, etc., etc.

Anything else would you like to mention about your talents,skills,interests 

BASIC INORMATION

Full name

01052023_1

01052023_2

Country

United States

United States

Address

Eye color

Blue

Blue

Hair color

Light Brown

Light Brown

Height

5’10”

6'3"

Ethnicity

White/Caucasian

White/Caucasian

Education

Bachelor’s degree

Associates degree

Hobbies

Beauty and hair care, Cooking, Gardening, Keeping pets, Taking care of animals, Watching TV or movies, Working out/exercising, Going to church/temple, Hiking

Camping, Fishing, Gardening, Going to church/temple, Reading, Hiking, Keeping pets, Taking care of animals, Watching TV or movies, Woodworking, Visiting with friends

Anything else would you like to mention about your talents, skills, interests

Traveling, hanging out with my family, watching my children’s sports, etc.

hanging out with family, watching kids' sports, etc., etc.

Anything else would you like to mention about your family medical history to the
adoptive parent

Allergies -seasonal
Diabetes (type 2) was late onset (in his 60s)
Heart - arrhythmia (in his 60s)

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

4

pronuclear embryos

Have the embryos been genetically tested

No

Do you know the gender of the embryos

No

Have the embryos from this batch resulted in a life birth

Age of embryos when they were frozen

Yes

3 days

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 20 years ago

Less than 30 years old

Have the embryos from this batch been already donated to another adoptive parent

No

Embryo

MEDICAL HISTORY

DONOR 1

DONOR 2

Allergy

Donor, Donor child, Donor's parent

Donor child

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Donor

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's parent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's parent

Hemochromatosis

High blood pressure

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Donor, Donor child, Donor's parent

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's parent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's parent

Hemochromatosis

High blood pressure

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

DONOR 2

allergy

Donor child

alzheimer

anxiety

asthma 

autism

bipolar disoder

cancer

Donor

celiac disease

cystic fibrosis

depression

diabetes

epilepsy

fibromyalgia

fragile x syndrome

heart conditions

hemochromatosis

high blood pressure

huntington's disease

lupus

marfan syndrome

multiple sclerosis

obesity

phenylketonuria

polycystic kidney disease

rheumatoid arthritis

schizophrenia

stroke

substance abuse

Information on egg/sperm donor

Letter
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